Unintentional Drug- and Alcohol-Related Intoxication Deaths* in Maryland

Preliminary data update through 1st quarter 2019

This report contains counts of unintentional drug- and alcohol-related intoxication deaths* occurring in Maryland through the 1st quarter of 2019, the most recent period for which preliminary data are available. Counts are also shown for the same period of 2007-2018 to allow for review of trends over time. Counts for 2018 and 2019 are not complete and are subject to change.

Since an intoxication death may involve more than one substance, counts of deaths related to specific substances do not sum to the total number of deaths. *Deaths resulting from recent ingestion or exposure to alcohol or other types of drugs, including heroin, prescription opioids, prescribed and illicit forms of fentanyl (including carfentanil), cocaine, benzodiazepines, phencyclidine (PCP), methamphetamines and other prescribed and unprescribed drugs. Figure 1. Total Number of Unintentional Intoxication Deaths Occurring in Maryland from January-March of Each Year.* 800

700 676

600 577 555

500

401 deaths 400 318 300 253 Number of 192 189 200 176 184 177 186 149

100

0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018* 2019*

*2018, 2019 counts are preliminary. 2 Figure 2. Number of Opioid-Related Deaths Occurring in Maryland from January through March of Each Year.*

700

601 600

515 500 482

deaths 400 350

300 270 Number of 226 200 157 132 132 136 145 145 108 100

0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018* 2019*

*2018, 2019 counts are preliminary. 3 Figure 3. Number of Heroin-Related Deaths Occurring in Maryland from January through March of Each Year.*

350

300 291

245 250

219

190 deaths 200 188

146 150 Number of

100 91 77 75 74 64 62 63 50

0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018* 2019*

*2018, 2019 counts are preliminary. 4 Figure 4. Number of Fentanyl-Related Deaths Occurring in Maryland from January through March of Each Year.*

600

517 500 474

400 371 deaths 300 Number of 200 157

100 73 39 6 6 5 12 12 11 8 0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018* 2019*

*2018, 2019 counts are preliminary. 5 Figure 5. Number of Carfentanil-Related Deaths Occurring in Maryland from January through March of Each Year.* 1

0.9

0.8

0.7

0.6 deaths 0.5

0.4 Number of

0.3

0.2

0.1 0 0 0 0 0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018* 2019*

*2018, 2019* counts are preliminary. ** Screening for Carfentanil began in 2016, first detected in Q3 2017 6 Figure 6. Number of Prescription Opioid-Related Deaths Occurring in Maryland from January through March of Each Year.*

120

104 106 100 99 100 93 87 89 83 82

80 76 73 70 deaths

60 53 Number of 40

20

0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018* 2019*

*2018, 2019 counts are preliminary. 7 Figure 7. Number of Cocaine-Related Deaths Occurring in Maryland from January through March of Each Year.*

250

Not in combination with opioids In combination with opioids

200

150 deaths 210

100 165 Number of

114

50 72 42 24 51 27 27 40 20 19 24 21 26 21 16 18 11 12 12 17 0 10 6 6 7 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018* 2019*

*2018, 2019 counts are preliminary. 8 Figure 8. Number of Alcohol-Related Deaths Occurring in Maryland from January through March of Each Year.*

160 Alcohol alone Alcohol in combination with other substances 140

120

100 deaths 80 114 110 101 Number of 60 84

40 57 39 30 43 56 42 32 30 20 19 25 16 21 16 21 17 13 11 12 11 14 9 11 0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018* 2019*

*2018, 2019 counts are preliminary. 9 Table 1. Comparison of Total Drug and Alcohol-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, January -- March, 20193 and 2018. Jurisdiction Drug & Alcohol Intoxication Deaths 2019 vs 2018 Jan. - Mar. 2019 Jan. - Mar. 2018 # DIFFERENCE Maryland Total 577 676 -99 Allegany 8 9 -1 Anne Arundel 50 71 -21 Baltimore City 243 248 -5 Baltimore County 78 116 -38 Calvert 11 3 8 Caroline 4 0 4 Carroll 13 28 -15 Cecil 12 19 -7 Charles 3 5 -2 Dorchester 0 2 -2 Frederick 21 25 -4 Garrett 1 2 -1 Harford 20 30 -10 Howard 10 11 -1 Kent 3 0 3 Montgomery 25 25 0 Prince George's 21 30 -9 Queen Anne's 4 3 1 Somerset 0 3 -3 St. Mary's 4 5 -1 Talbot 2 2 0 Washington 26 19 7 Wicomico 9 11 -2 Worcester 9 9 0 1Includes deaths that were the result of recent ingestion or exposure to alcohol or another type of drug, including heroin, cocaine, prescription opioids, benzodiazepines, and other prescribed and unprescribed drugs.

2Includes only deaths for which the manner of death was classified as accidental or undetermined.

3Counts for 2018, 2019 are not complete. 10 Table 2. Comparison of Opioid-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, January -- March, 20193 and 2018. Jurisdiction Opioid Intoxication Deaths 2019 vs 2018 Jan. - Mar. 2019 Jan. - Mar. 2018 # DIFFERENCE Maryland Total 515 601 -86 Allegany 7 7 0 Anne Arundel 45 68 -23 Baltimore City 224 225 -1 Baltimore County 72 103 -31 Calvert 8 1 7 Caroline 4 0 4 Carroll 13 27 -14 Cecil 10 19 -9 Charles 3 4 -1 Dorchester 0 1 -1 Frederick 20 23 -3 Garrett 0 2 -2 Harford 18 28 -10 Howard 8 10 -2 Kent 3 0 3 Montgomery 19 20 -1 Prince George's 14 20 -6 Queen Anne's 4 3 1 Somerset 0 3 -3 St. Mary's 4 5 -1 Talbot 2 2 0 Washington 23 16 7 Wicomico 7 9 -2 Worcester 7 5 2 1Includes deaths that were the result of recent ingestion or exposure to any opioid, prescribed or illicit.

2Includes only deaths for which the manner of death was classified as accidental or undetermined. 3Counts for 2018, 2019 are not complete. 11 Table 3. Comparison of Heroin-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, January -- March, 20193 and 2018. Jurisdiction Heroin Intoxication Deaths 2019 vs 2018 Jan. - Mar. 2019 Jan. - Mar. 2018 # DIFFERENCE Maryland Total 188 245 -57 Allegany 1 2 -1 Anne Arundel 11 24 -13 Baltimore City 85 84 1 Baltimore County 32 38 -6 Calvert 5 1 4 Caroline 1 0 1 Carroll 4 15 -11 Cecil 3 12 -9 Charles 2 2 0 Dorchester 0 1 -1 Frederick 8 10 -2 Garrett 0 1 -1 Harford 7 10 -3 Howard 2 2 0 Kent 0 0 0 Montgomery 9 11 -2 Prince George's 7 6 1 Queen Anne's 1 1 0 Somerset 0 3 -3 St. Mary's 1 2 -1 Talbot 0 2 -2 Washington 5 10 -5 Wicomico 2 4 -2 Worcester 2 4 -2 1Includes deaths that were the result of recent ingestion or exposure to heroin.

2Includes only deaths for which the manner of death was classified as accidental or undetermined.

3Counts for 2018, 2019 are not complete. 12 Table 4. Comparison of Fentanyl-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, January -- March, 20193 and 2018. Jurisdiction Fentanyl Intoxication Deaths 2019 vs 2018 Jan. - Mar. 2019 Jan. - Mar. 2018 # DIFFERENCE Maryland Total 474 517 -43 Allegany 6 5 1 Anne Arundel 40 56 -16 Baltimore City 215 211 4 Baltimore County 62 87 -25 Calvert 8 0 8 Caroline 3 0 3 Carroll 12 20 -8 Cecil 10 14 -4 Charles 3 3 0 Dorchester 0 0 0 Frederick 19 22 -3 Garrett 0 1 -1 Harford 15 24 -9 Howard 6 9 -3 Kent 3 0 3 Montgomery 17 13 4 Prince George's 14 16 -2 Queen Anne's 3 3 0 Somerset 0 3 -3 St. Mary's 3 4 -1 Talbot 2 2 0 Washington 20 12 8 Wicomico 6 7 -1 Worcester 7 5 2 1Includes deaths that were the result of recent ingestion or exposure to fentanyl. 2Includes only deaths for which the manner of death was classified as accidental or undetermined. 3Counts for 2018, 2019 are not complete. 13 Table 5. Total Number of Drug and Alcohol-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, 2007-2018 and YTD 2019 Through March.3

Jurisdiction Drug & Alcohol Intoxication Deaths 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 YTD Maryland Total 815 694 731 649 671 799 858 1,041 1,259 2,089 2,282 2,420 577 Allegany 14 9 9 15 12 14 15 12 22 59 38 39 8 Anne Arundel 71 70 63 56 79 83 78 101 112 195 214 243 50 Baltimore City 287 184 239 172 167 225 246 305 393 694 761 892 243 Baltimore County 131 118 106 115 107 119 144 170 220 336 367 391 78 Calvert 14 9 14 6 12 12 6 17 20 28 32 28 11 Caroline 1 4 2 2 11 4 2 7 3 10 11 7 4 Carroll 14 17 22 15 8 29 24 38 40 47 55 72 13 Cecil 25 10 24 24 28 25 26 29 32 30 59 60 12 Charles 13 16 11 13 11 13 9 21 22 45 37 27 3 Dorchester 4 5 2 6 2 5 5 0 1 6 12 7 0 Frederick 23 15 23 20 30 26 37 42 40 88 78 78 21 Garrett 1 3 3 3 2 0 6 2 5 1 8 3 1 Harford 31 35 33 43 38 39 36 43 50 84 101 101 20 Howard 16 19 16 10 21 24 29 21 26 46 51 42 10 Kent 3 4 2 5 2 0 4 6 3 6 5 2 3 Montgomery 56 46 44 38 44 48 52 65 70 102 116 91 25 Prince George's 53 58 59 43 42 56 59 63 70 129 167 127 21 Queen Anne's 4 5 4 4 5 2 8 10 4 8 8 17 4 Somerset 6 3 4 1 3 3 4 3 6 8 4 8 0 St. Mary's 6 11 9 12 8 12 10 9 17 15 34 31 4 Talbot 5 4 3 3 1 5 7 4 5 10 11 10 2 Washington 16 26 18 20 21 27 28 40 64 66 59 92 26 Wicomico 9 13 12 13 11 21 17 20 18 48 35 36 9 Worcester 12 10 9 10 6 7 6 13 16 28 19 16 9 1Includes deaths that were the result of recent ingestion or exposure to alcohol or another type of drug, including heroin, cocaine, prescription opioids, benzodiazepines, and other prescribed and unprescribed drugs.

2Includes only deaths for which the manner of death was classified as accidental or undetermined.

3Counts for 2018, 2019 are not complete. 14 Table 6. Number of Opioid-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, 2007-2018 and YTD 2019 Through March.3

Jurisdiction Opioid Intoxication Deaths 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 YTD Maryland Total 628 523 570 504 529 648 729 888 1,089 1,856 2,009 2,144 515 Allegany 12 7 6 11 8 10 11 11 20 55 36 33 7 Anne Arundel 54 57 45 44 53 68 67 85 89 169 198 218 45 Baltimore City 256 154 199 139 142 189 212 275 354 628 692 814 224 Baltimore County 95 92 83 95 93 104 125 146 195 305 323 352 72 Calvert 12 6 11 4 10 11 5 16 19 25 27 25 8 Caroline 0 2 1 2 8 4 2 7 3 9 8 7 4 Carroll 12 15 16 12 7 27 21 29 34 44 51 68 13 Cecil 23 9 21 21 24 22 22 25 26 28 57 58 10 Charles 8 9 10 9 10 12 9 16 17 36 34 19 3 Dorchester 2 3 1 6 2 5 5 0 1 5 10 6 0 Frederick 12 7 18 12 28 23 33 34 37 80 66 70 20 Garrett 0 2 3 1 1 0 4 2 4 0 4 3 0 Harford 24 31 28 38 28 32 34 38 45 76 93 90 18 Howard 14 13 11 9 18 17 26 18 25 40 47 37 8 Kent 2 4 2 3 1 0 4 3 3 4 4 2 3 Montgomery 35 29 31 25 28 36 40 53 59 84 91 64 19 Prince George's 27 33 38 27 24 30 38 48 45 106 124 94 14 Queen Anne's 4 2 3 4 4 2 7 9 4 6 6 16 4 Somerset 5 3 2 1 3 2 4 2 4 6 3 8 0 St. Mary's 3 9 7 10 6 9 10 8 12 13 33 27 4 Talbot 3 3 2 2 1 3 6 4 5 10 8 10 2 Washington 11 21 14 13 16 20 26 34 57 63 51 83 23 Wicomico 6 7 10 10 10 17 14 15 17 44 28 30 7 Worcester 8 5 8 6 4 5 4 10 14 20 15 10 7 1Includes deaths that were the result of recent ingestion or exposure to prescription and illicit opioids. 2Includes only deaths for which the manner of death was classified as accidental or undetermined. 3Counts for 2018, 2019 are not complete. 15 Table 7. Number of Heroin-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, 2007-2018 and YTD 2019 Through March.3

Jurisdiction Heroin Intoxication Deaths 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 YTD Maryland Total 399 289 360 238 247 392 464 578 748 1,212 1,078 831 188 Allegany 3 4 2 3 3 6 3 5 13 34 14 15 1 Anne Arundel 38 24 31 18 24 38 41 53 60 105 118 75 11 Baltimore City 200 107 151 93 76 131 150 192 260 454 380 286 85 Baltimore County 56 51 53 42 38 64 76 86 134 208 170 119 32 Calvert 5 3 7 1 5 6 2 13 15 17 17 8 5 Caroline 0 0 0 0 3 3 2 6 2 6 4 3 1 Carroll 9 5 7 3 2 13 14 16 22 25 28 34 4 Cecil 8 4 12 4 8 11 11 15 16 19 37 40 3 Charles 2 5 3 6 6 5 5 10 8 22 16 11 2 Dorchester 1 2 0 2 1 3 3 0 1 3 4 3 0 Frederick 8 4 9 6 11 10 21 26 26 46 35 23 8 Garrett 0 0 1 0 1 0 2 1 3 0 1 1 0 Harford 12 8 15 12 15 14 22 23 27 42 53 43 7 Howard 8 8 7 3 10 12 16 9 16 24 23 16 2 Kent 1 1 0 0 1 0 0 2 1 1 1 0 0 Montgomery 17 14 16 12 11 22 28 33 37 48 52 34 9 Prince George's 20 24 26 14 12 20 25 32 32 67 52 44 7 Queen Anne's 0 1 3 2 2 2 5 7 1 4 5 8 1 Somerset 2 1 1 0 1 2 1 1 3 3 2 5 0 St. Mary's 1 3 0 4 4 7 6 5 6 9 12 12 1 Talbot 1 2 0 0 1 2 2 4 3 4 3 4 0 Washington 5 13 11 6 8 11 14 21 38 39 22 29 5 Wicomico 1 3 3 5 3 9 11 12 13 21 20 12 2 Worcester 1 2 2 2 1 1 4 6 11 11 9 6 2 1Includes deaths that were the result of recent ingestion or exposure to heroin.

2Includes only deaths for which the manner of death was classified as accidental or undetermined. 3Counts for 2018, 2019 are not complete. 16 Table 8. Number of Fentanyl-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, 2007-2018 and YTD 2019 Through March.3

Jurisdiction Fentanyl Intoxication Deaths 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 YTD Maryland Total 26 25 27 39 26 29 58 186 340 1,119 1,594 1,888 474 Allegany 3 0 1 2 1 1 1 1 5 29 29 29 6 Anne Arundel 3 5 3 5 2 3 6 23 29 98 152 184 40 Baltimore City 3 2 4 4 2 4 12 72 120 419 573 758 215 Baltimore County 6 9 9 6 4 5 11 36 65 182 244 308 62 Calvert 0 1 1 0 1 0 0 5 2 11 22 23 8 Caroline 0 0 0 1 4 0 0 0 1 3 7 6 3 Carroll 0 2 0 2 0 1 2 4 11 20 40 55 12 Cecil 2 1 0 2 2 0 0 1 7 9 44 52 10 Charles 0 0 0 0 1 1 3 1 4 17 26 14 3 Dorchester 0 0 0 2 0 0 2 0 1 3 7 4 0 Frederick 0 0 0 2 3 1 2 6 11 49 49 65 19 Garrett 0 1 0 0 1 0 0 0 2 0 2 2 0 Harford 1 1 0 3 2 1 1 2 16 46 73 76 15 Howard 1 0 0 0 0 2 3 5 7 27 36 34 6 Kent 0 0 0 0 0 0 0 1 0 3 3 2 3 Montgomery 2 0 1 1 0 2 0 8 17 43 72 40 17 Prince George's 1 0 2 2 0 1 6 7 15 58 103 75 14 Queen Anne's 1 0 0 0 0 0 1 1 0 4 5 16 3 Somerset 1 1 0 1 0 0 2 0 1 6 3 8 0 St. Mary's 0 0 1 1 1 0 1 3 3 4 26 23 3 Talbot 1 1 0 1 0 1 0 2 2 7 3 10 2 Washington 0 0 0 2 1 1 4 1 14 31 39 70 20 Wicomico 1 1 3 1 1 4 1 7 1 34 24 24 6 Worcester 0 0 2 1 0 1 0 0 6 16 12 10 7 1Includes deaths that were the result of recent ingestion or exposure to prescription or illicit fentanyl. 2Includes only deaths for which the manner of death was classified as accidental or undetermined. 3Counts for 2018, 2019 are not complete. 17 Table 9. Number of Prescription Opioid-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, 2007-2018 and YTD 2019 Through March.3

Jurisdiction Prescription Opioid Intoxication Deaths 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 YTD Maryland Total 302 280 251 311 342 311 316 330 351 418 413 379 89 Allegany 9 5 6 8 5 5 8 6 6 15 9 5 1 Anne Arundel 22 36 20 31 33 33 28 32 27 48 43 36 6 Baltimore City 95 60 63 61 82 74 86 84 105 113 123 128 42 Baltimore County 48 51 37 60 68 47 54 59 62 67 87 71 13 Calvert 8 3 4 3 7 6 3 7 6 11 5 6 1 Caroline 0 2 1 2 5 1 0 1 0 4 1 1 2 Carroll 4 11 10 9 5 17 12 15 14 15 13 16 2 Cecil 19 6 10 20 20 18 12 12 10 8 8 5 1 Charles 6 6 7 4 5 7 5 9 8 10 11 8 1 Dorchester 2 1 1 4 1 3 3 0 0 2 2 2 0 Frederick 6 4 9 6 21 16 14 9 12 18 17 9 3 Garrett 0 2 2 1 1 0 2 2 1 0 1 1 0 Harford 15 25 14 30 15 20 14 20 16 16 19 19 2 Howard 6 6 4 6 9 5 13 7 9 6 13 2 2 Kent 2 3 2 3 1 0 4 2 2 0 2 0 0 Montgomery 20 17 19 14 20 18 16 19 23 26 19 16 3 Prince George's 8 12 13 17 15 11 14 16 13 16 14 11 3 Queen Anne's 4 1 1 2 2 0 3 3 3 2 2 4 0 Somerset 4 3 1 1 3 2 2 1 1 0 1 2 0 St. Mary's 3 7 7 9 3 5 4 3 5 4 10 8 1 Talbot 2 1 2 2 0 1 4 0 2 3 4 2 0 Washington 7 10 4 7 11 9 11 16 20 23 8 19 4 Wicomico 5 4 8 7 7 9 4 3 5 7 0 5 2 Worcester 7 4 6 4 3 4 0 4 1 4 1 3 0 1Includes deaths that were the result of recent ingestion or exposure to prescription opioids. 2Includes only deaths for which the manner of death was classified as accidental or undetermined.

3Counts for 2018, 2019 are not complete. 18 Table 10. Number of Cocaine-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, 2007-2018 and YTD 2019 Through March.3

Jurisdiction Cocaine Intoxication Deaths 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 YTD Maryland Total 248 157 162 135 148 153 154 198 221 464 691 892 186 Allegany 2 1 1 1 0 2 2 2 5 9 13 12 1 Anne Arundel 26 18 15 13 18 13 12 19 19 31 66 91 16 Baltimore City 106 57 72 45 48 59 47 82 93 202 285 389 96 Baltimore County 30 25 25 23 19 17 27 28 38 80 123 132 29 Calvert 1 2 1 3 2 3 0 2 0 2 3 3 1 Caroline 0 0 1 0 1 1 0 1 0 5 2 1 0 Carroll 2 2 3 6 3 7 7 2 6 8 14 23 4 Cecil 5 3 4 3 7 2 5 4 3 3 15 14 2 Charles 3 3 2 2 1 1 0 0 2 4 10 13 1 Dorchester 1 1 0 1 1 1 1 0 0 1 7 2 0 Frederick 4 2 3 3 7 2 5 8 4 9 19 24 2 Garrett 0 0 0 1 0 0 0 0 1 0 1 0 0 Harford 8 5 5 5 4 5 4 4 5 20 18 40 5 Howard 6 1 4 1 5 7 5 3 6 7 16 19 2 Kent 1 2 0 1 0 0 0 1 1 0 1 1 0 Montgomery 20 12 7 4 12 12 13 10 5 11 17 18 5 Prince George's 15 14 11 12 12 10 12 19 11 33 45 31 11 Queen Anne's 3 0 2 0 1 0 0 0 0 1 2 5 1 Somerset 1 0 1 1 0 0 0 0 0 4 2 6 0 St. Mary's 1 1 1 2 0 2 1 1 4 2 6 17 1 Talbot 4 0 1 0 0 0 3 0 1 2 2 3 0 Washington 3 1 0 3 3 5 6 6 10 9 10 31 5 Wicomico 2 5 2 3 3 4 3 4 7 13 7 13 4 Worcester 4 2 1 2 1 0 1 2 0 8 7 4 0 1Includes deaths that were the result of recent ingestion or exposure to cocaine. 2Includes only deaths for which the manner of death was classified as accidental or undetermined.

3Counts for 2018, 2019 are not complete.

19 Table 11. Number of Alcohol-Related Intoxication Deaths1,2 by Place of Occurrence, Maryland, 2007-2018 and YTD 2019 Through March.3

Jurisdiction Alcohol Intoxication Deaths 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 YTD Maryland Total 189 176 163 161 161 195 239 270 310 582 517 475 101 Allegany 5 0 3 4 2 4 2 3 6 14 4 7 1 Anne Arundel 12 12 9 10 21 15 22 18 27 56 37 44 10 Baltimore City 56 41 54 39 44 71 86 86 114 222 198 187 47 Baltimore County 38 23 22 29 22 24 32 39 52 81 71 81 8 Calvert 3 3 4 0 2 2 1 4 3 7 4 9 2 Caroline 1 0 1 0 1 0 1 2 0 5 4 1 0 Carroll 3 4 5 4 4 4 4 9 6 12 9 10 1 Cecil 5 4 7 6 3 6 9 5 8 8 12 11 0 Charles 5 5 1 4 3 2 4 5 4 12 9 3 0 Dorchester 2 0 0 1 0 1 0 0 1 1 2 1 0 Frederick 5 7 8 5 9 5 11 12 13 15 11 11 5 Garrett 1 2 1 1 1 0 2 1 1 1 2 1 0 Harford 3 9 5 9 4 6 4 8 11 18 12 13 2 Howard 2 7 5 3 4 6 6 6 5 14 7 5 2 Kent 0 0 0 1 0 0 1 1 0 1 1 0 1 Montgomery 17 15 9 10 16 15 13 18 15 22 35 19 6 Prince George's 21 19 14 17 12 23 22 18 17 45 51 32 5 Queen Anne's 1 2 0 1 3 0 1 7 0 2 4 3 0 Somerset 0 0 1 0 1 1 1 2 2 3 1 0 0 St. Mary's 2 1 3 2 2 3 2 3 4 3 11 5 1 Talbot 0 3 0 0 0 2 2 0 0 0 5 4 1 Washington 3 10 4 5 4 3 6 11 10 17 14 16 5 Wicomico 1 6 3 4 2 2 6 7 3 12 9 8 3 Worcester 3 3 4 6 1 0 1 5 8 11 4 4 1 1Includes deaths that were the result of recent ingestion or exposure to alcohol.

2Includes only deaths for which the manner of death was classified as accidental or undetermined. 3Counts for 2018, 2019 are not complete.

20